Transcultural adaptation, validation and assessment of the psychometric properties of the Spanish version of the Western Ontario Shoulder Instability Index questionnaire

Yuguero, Mariano; Huguet, J.; Griffin, Sharon; Sirvent, Ernest López; Marcano, Figueroa; Balaguer, Mathieu; Torner, P.

doi:10.1016/j.recote.2016.09.004

Cited by 10 publications

(9 citation statements)

References 21 publications

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“…According to Perrin et al, 6 the subjective symptoms that predominate in shoulder instability are apprehension and lack of confidence to perform activities of daily living and sports. 7 These subjective symptoms lead to a decrease in participation in activities by patients, resulting in a negative impact on their quality of life. 6 Therefore, subjective clinical evaluation methods are important when used along with physical examination, having in mind the patient's opinion about his or her condition.…”

Section: Introductionmentioning

confidence: 99%

Cross-cultural Adaptation and Validation of the European Portuguese Version of the Western Ontario Shoulder Instability Index (WOSI)

Torres¹,

Faria²,

Cavalheiro³

et al. 2022

Acta Med Port

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Introduction: The Western Ontario Shoulder Instability Index (WOSI) is a self-administered questionnaire specifically used to determine the impact of shoulder instability on quality of life. The aim of this study was to translate the WOSI into European Portuguese and analyze its validity and reliability in a population with shoulder instability.Material and Methods: The WOSI was translated and culturally adapted from its original version into European Portuguese (WOSIPT). Internal consistency and test-retest analyses were conducted to determine the level of reliability of the scale. WOSI-PT, Quick-DASH, and SF-12 questionnaires were applied to 81 patients with symptomatic shoulder instability to assess validity, and reliability was tested by randomly selecting 50 patients within 72 hours using a test-retest design.Results: The reliability of the WOSI-PT was very high, with Cronbach´s alpha equal to 0.97 and an intraclass correlation coefficient of 0.98. Regarding the construct validity, the correlation between the WOSI-PT and QuickDASH was high and negative (-0.79). The correlations between WOSI-PT and SF-12 were positive, respectively, moderate with physical (0.66) and low with mental (0.34) health.Conclusion: WOSI-PT is a reliable and valid instrument for assessing the functional impact of shoulder joint instability on quality of life.

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Section: Introductionmentioning

confidence: 99%

Cross-cultural Adaptation and Validation of the European Portuguese Version of the Western Ontario Shoulder Instability Index (WOSI)

Torres¹,

Faria²,

Cavalheiro³

et al. 2022

Acta Med Port

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“…Consequently, a significantly reduced postoperative range of motion could be related to the presence of an excessive fibrous remodeling of the capsulolabral tissue, resulting in decreased external rotation in the revision group, as recently stated. 33 Regarding postoperative osteoarthritis, we found an overall rate of glenohumeral osteoarthritis of 46.4%, which was higher in the revision surgery group, although differences were not significant. In our series, the rate of osteoarthritis was higher compared with other comparative studies with similar follow-ups 22,23 ; however, in those studies, the severity of osteoarthritis was assessed using simple radiographs.…”

Section: Discussionmentioning

confidence: 57%

Outcomes of Arthroscopic Latarjet as a Revision Surgery After Failed Arthroscopic Bankart Repair

Calvo,

Dzidzishvili,

Valencia

et al. 2024

Am J Sports Med

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Background: The role of arthroscopic Latarjet as a revision surgery after failed arthroscopic Bankart repair has yet to be established. Purpose: To compare clinical outcomes, recurrences, and complication rates of arthroscopic Latarjet as a revision procedure after failed arthroscopic Bankart repair versus arthroscopic Latarjet as a primary procedure. Design: Cohort study; Level of evidence, 3. Methods: This is a retrospective study of prospectively collected data of patients who were diagnosed with anterior shoulder instability and underwent arthroscopic Latarjet stabilization between 2009 and 2018. Patients were separated into 2 groups depending on whether Latarjet was performed after a previous instability surgery (revision) or as a primary surgery (primary). Rowe score, Western Ontario Shoulder Instability Index (WOSI), Constant-Murley Shoulder Outcome (CMSO) score, and Single Assessment Numeric Evaluation (SANE) were assessed pre- and postoperatively with a minimum 24 months of follow-up. In addition, pre- and postoperative levels of sports activity, dislocations, subluxations, and complications were assessed. Results: A total of 97 patients (n = 62 revision; n = 35 primary), with a mean age of 31.0 ± 8.8 and 29.4 ± 7.6 years old in the revision and primary Latajet group, respectively, met the inclusion criteria. The mean follow-up in the revision group was 32 months (24-53) and 35.5 months (27.7-42.2) in the primary Latarjet group. No significant differences between groups were observed in Rowe score (revision = 91.4, primary = 94.1; P = .223), CMSO score (revision = 90.7, primary = 94; P = .105), and SANE (revision = 85.8, primary = 87.3; P = .683) postoperatively. However, the postoperative difference in the WOSI score between the revision and primary Latarjet groups was nearly significant (510 ± 334 vs 403 ± 343, respectively; P = .05). Four (6.4%) postoperative dislocations were reported in the revision and 1 (2.8%) in the primary Latarjet group ( P = .14). Patients in the revision group had a lower return to the previous level of sports participation ( P = .008) and decreased external rotation with the arm by the side compared with the primary Latarjet group ( P = .000). Conclusion: Arthroscopic Latarjet as a revision surgery is a reasonable surgical option in failed Bankart repair cases. The decision to perform arthroscopic Latarjet stabilization as a revision surgery should not be influenced by the potential risk of future complications as it provides comparable clinical outcomes to the primary Latarjet procedure with a low postoperative recurrence rate. However, a decreased level of postoperative sports participation and external rotation with the arm by the side can be expected.

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“…Compared with previous studies reporting the results of the open Latarjet procedure for shoulder instability in patients with epilepsy, satisfactory objective clinical postoperative results were obtained in our series according to the Rowe score. 23 The validity of this finding is supported by subjective patient-reported outcomes using the WOSI 26 and SANE 14 scores, as well as by the comparison with a matched control on the Constant score. 5 These differences between our results and those previously reported may well be due to potential differences in the cohorts of patients.…”

Section: Discussionmentioning

confidence: 86%

“…Clinical outcomes at a minimum of 2 years of postoperative follow-up included objective evaluation using the Rowe and Constant-Murley Shoulder Outcome (CMSO) scores, 5,23 as well as patient-reported outcome subjective assessment following the Spanish validated version of the Western Ontario Shoulder Instability Index (WOSI) and the Single Assessment Numeric Evaluation (SANE). 14,26 Rowe and WOSI scores were collected pre- and postoperatively, while CMSO and SANE scores were collected only postoperatively. Surgical procedures were performed by the same senior surgeon and in the same facility where the surgical technique and postoperative management protocol were standardized for all patients.…”

Section: Methodsmentioning

confidence: 99%

Outcomes of Arthroscopic Latarjet Procedure for Anterior Glenohumeral Instability in Patients With Epilepsy: A Case-Control Study

et al. 2022

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Background: Unacceptably high rates of redislocation, reoperation, osteoarthritis, and coracoid nonunion have been reported in patients with a seizure disorder after surgery for shoulder instabilitiy. Purpose: To evaluate the objective and subjective functional and radiologic results of the arthroscopic Latarjet procedure for anterior shoulder instability in patients with epilepsy and compare them with the results of patients without epilepsy. Study design: Cohort study; Level of evidence, 3. Methods: A retrospective and comparative case-control analysis of patients operated for shoulder instability with arthroscopic Latarjet was conducted. Nineteen patients (21 unstable shoulders) with a seizure disorder (epilepsy group) were matched with 21 patients without a history of seizure (control group). Demographics, surgical indications, and imaging data were collected. Clinical outcomes at a minimum 2 years of follow-up (range, 2-9 years) postoperatively included Rowe score, Western Ontario Shoulder Instability Index (WOSI), Constant-Murley Shoulder Outcome (CMSO) score, and Single Assessment Numeric Evaluation (SANE). The incidence of complications, recurrent instability, redislocation, revision surgery, repeated seizure(s), and presence of osteoarthritis, coracoid nonunion, and osteolysis were also examined. Results: After a mean follow-up of 4.5 years, no significant differences in functional results were found between patients with and without epilepsy on the average Rowe ( P = .917), WOSI ( P = .621), CMSO ( P = .600), and SANE ( P = .859) scores. A total of 5 patients (7 shoulders) continued to have seizures postoperatively, but no seizure-related glenohumeral instability was documented. One dislocation and 1 subluxation were documented while participating in sports in each study group, comprising a recurrence rate of 9.5%, but no significant differences were found at comparison ( P = .605). A bone defect did not influence the results, as no significant difference was found between the 2 groups. Osteoarthritic changes of the glenohumeral joint were observed in 5 shoulders (23.8%) in the epilepsy group and in 3 (14.3%) in the control group ( P = .451). No case of coracoid nonunion or osteolysis was recorded. There was no statistically significant difference in postoperative athletic activity ( P = .660). However, patients with epilepsy had significantly lower pre- and postoperative sports participation ( P < .001). Conclusion: Arthroscopic Latarjet stabilization can lead to improved functional and subjective outcomes and should be considered in patients with epilepsy with recurrent anterior glenohumeral instability. These results can be achieved regardless of the presence of bone defect and the postoperative control of seizures and are similar to those in patients without epilepsy.

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Transcultural adaptation, validation and assessment of the psychometric properties of the Spanish version of the Western Ontario Shoulder Instability Index questionnaire

Cited by 10 publications

References 21 publications

Cross-cultural Adaptation and Validation of the European Portuguese Version of the Western Ontario Shoulder Instability Index (WOSI)

Cross-cultural Adaptation and Validation of the European Portuguese Version of the Western Ontario Shoulder Instability Index (WOSI)

Outcomes of Arthroscopic Latarjet as a Revision Surgery After Failed Arthroscopic Bankart Repair

Outcomes of Arthroscopic Latarjet Procedure for Anterior Glenohumeral Instability in Patients With Epilepsy: A Case-Control Study

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